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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao European Eating Diso...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
European Eating Disorders Review
Article . 2025 . Peer-reviewed
License: Wiley Online Library User Agreement
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Change in PTSD and Complex PTSD Symptoms in Residential Treatment for Eating Disorders

Authors: Sinead Day; Deborah Mitchison; W. Kathy Tannous; Phillipa Hay;

Change in PTSD and Complex PTSD Symptoms in Residential Treatment for Eating Disorders

Abstract

ABSTRACT Objective Trauma‐related disorders are experienced by up to 50% of individuals in treatment for an eating disorder, yet research knowledge is limited as to whether trauma‐related symptoms improve during eating disorder treatment. This is particularly true for complex post‐traumatic stress disorder (CPTSD) and its specific symptom domains (PTSD symptoms and disturbances in self organisation [DSO]). Method The current study included 95 individuals with eating disorders who completed measures of trauma‐related symptoms and eating disorder psychopathology at admission, week 4 of treatment, discharge, and 6‐month post‐discharge from residential treatment. Results Linear mixed effects models indicated that both PTSD and DSO symptom domains significantly improved over the course of residential care, adjusting for baseline eating disorder and trauma‐related symptom severity. Change in PTSD symptoms from admission to follow‐up was linear or quadratic, while DSO symptom trajectories exhibited cubic trends such that symptoms were slow to improve early in treatment, showed more rapid improvement later in treatment, and then slightly worsened post‐discharge. Conclusion These findings indicate that symptoms related to both PTSD and CPTSD may improve with eating disorder residential treatment, even without trauma‐focused interventions. However, despite this, trauma‐related symptoms are likely to remain severe post‐treatment. Individuals with this comorbidity may therefore benefit from greater incorporation of trauma‐informed care in specialist eating disorder services as well as trauma‐focused therapies as part of stepdown care. Trial Registration The study was prospectively registered on the Australian and New Zealand Clinical Trials Registry in November 2021, registration number ACTRN12621001651875

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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